Meningitis

Meningitis ( 24 Questions)

A nurse is caring for a client suspected of having meningitis. What is the most important laboratory test to confirm the diagnosis?


Correct Answer: C

Choice A rationale:

A blood culture is a test used to detect bacteria or other microorganisms in the bloodstream. While it can be helpful in diagnosing bacterial infections, it is not the most important test for confirming meningitis. The presence of bacteria in the blood does not necessarily confirm meningitis, as the infection may not have spread to the bloodstream yet.

Choice B rationale:

A throat swab is used to collect samples from the throat to identify infections such as strep throat. While throat infections can sometimes lead to complications like meningitis, a throat swab is not the most important test for confirming the diagnosis of meningitis. The infection may not be present in the throat, and direct examination of cerebrospinal fluid is necessary to confirm meningitis.

Choice C rationale:

A lumbar puncture, also known as a spinal tap, is the most important laboratory test to confirm the diagnosis of meningitis. It involves collecting a sample of cerebrospinal fluid (CSF) from the space around the spinal cord and brain. Analysis of the CSF can reveal the presence of bacteria or other pathogens, increased white blood cells, and other indicators of meningitis.

Choice D rationale:

A computed tomography (CT) scan is a diagnostic imaging test that uses X-rays to create detailed cross-sectional images of the body. While it can help identify structural abnormalities in the brain, such as bleeding or tumors, it is not the primary test for confirming meningitis. CT scans may show signs of inflammation, but they cannot definitively diagnose meningitis or distinguish between bacterial, viral, or fungal causes.




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